Welcome! Developed by the PLANET MassCONECT Team, 2018 Funded by - - PowerPoint PPT Presentation

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Welcome! Developed by the PLANET MassCONECT Team, 2018 Funded by - - PowerPoint PPT Presentation

Welcome! Developed by the PLANET MassCONECT Team, 2018 Funded by NCI (U54 CA156732) PLANET MassCONECT U54 Outreach Core of the U54 Partnership What we ask Training Engagement Toolkit Surveys Technical assistance What we provide Online


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Welcome!

Developed by the PLANET MassCONECT Team, 2018 Funded by NCI (U54 CA156732)

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PLANET MassCONECT – U54

Outreach Core of the U54 Partnership

Funded by the National Cancer Institute through 2021 (U54 CA156732) Engagement Surveys Training Toolkit Technical assistance Online portal Networks What we provide What we ask

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Partners

Brazilian Worker Center

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220 participants trained to date!

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Introductions + what brought you here today?

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Cancer Disparities. Health Equity. Social Justice.

In Massachusetts… Latina women develop cervical cancer at almost 2x the rate of white women Black men develop prostate cancer at almost 2x the rate of white men Rates of colorectal cancer screening differ by education and income 69% 82% 67% 79%

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Important goals, limited resources

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Which would you choose?

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Evidence-based programs (EBPs)

Tested Proven effective Don’t reinvent the wheel!

Save resources Use latest knowledge Strengthen applications Increase impact

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https://rtips.cancer.gov/rtips/index.do

Example: Breast cancer

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A new way of thinking

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Prepare to implement Plan the evaluation Choose an EBP Adapt an EBP Assess partnership opportunities Find effective strategies Frame the issue

A systematic approach

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Today is just the starting point!

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Overview of www.planetmassconect.org

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Prepare to implement Plan the evaluation Choose an EBP Adapt an EBP Assess partnership opportunities Find effective strategies Frame the issue

Step 1: Frame the issue

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Step 1

As we begin to frame the issue, we will learn to

  • Compare different types of evidence
  • Identify the best available evidence for our needs
  • Determine what types of data may be useful for a given

project

  • Access local, regional, state, and national data
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A new grant has just been released to fund programs for community health issues

How do we make a compelling argument?

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Choosing the best available evidence

National State Local

  • CDC data
  • National surveys
  • Mass Dept. of Health
  • Targeted, but may not

be representative

  • Focus area may not

match

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Step 1 overview

What is the community health problem you are addressing? Community health problem

Why? Who is impacted?

?

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Community health problem

HPV infection and HPV vaccination

Why? Who is impacted?

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HPV-associated cancer disparities

National level

Black and Hispanic women have higher rates than white women of:

  • Cervical cancer
  • Vaginal cancer

Black and Hispanic men have higher rates than White men of:

  • Penile cancer

CDC (2017). "HPV-Associated Cancers by Race and Ethnicity." from https://www.cdc.gov/cancer/hpv/statistics/race.htm.

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Burden of HPV in MA

There are now more new cases of HPV-related throat cancer than cervical cancer, which mainly affects males.

State level

Massachusetts Department of Public Health (MDPH). (2018). Data brief: HPV-associated cancers in Massachusetts. Retrieved from https://www.mass.gov/files/documents/2018/03/21/data-report-hpv-associated-ma-2004-2014.pdf

About 9,000 cases of HPV- related cancers were diagnosed in Massachusetts between 2004 and 2014. Each year, the rate of new cancers diagnosed has increased

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Why HPV vaccination?

HPV vaccination is an OPPORTUNITY to prevent 6 types of cancers in men and women

Garland, S. M., et al. (2018). "IPVS statement moving towards elimination of cervical cancer as a public health problem." Papillomavirus Research 5: 87-88.

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Policy Community Organizational Interpersonal Individual

Many influences on health = many opportunities to create change

Adapted from: McLeroy, K.R., et al., An Ecological Perspective on Health Promotion Programs. Health Education Quarterly, 1988. 15(4): p. 351-377.

Where can we have impact?

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“Backwards” data collection

What information is needed? What information is already available? What information do we need to collect ourselves? Collect and analyze data, write report, and make recommendations

Adapted from: Thorogood, M., & Coombes, Y. (2004). Evaluating health promotion: Practice and methods (2nd ed.). Oxford, England: Oxford University Press.

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Qualitative Quantitative

Goal Explore Explain Question How? Why? What? When? Where? Data Words, images Numbers Method Focus groups, interviews Surveys, experiments Results Understand perspective Predict cause

What do you use to gather the data you need on identifying a health problem?

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www.planetmassconect.org

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87.5 83.5 70 56 10 20 30 40 50 60 70 80 90 100

All adolescents

MA Vaccination Rates 2016

≥ 1 Tetanus ≥ 1 Meningitis ≥ 1 HPV HPV Completion

State Data

Healthy People 2020 goal

Walker, T. Y., et al. (2017). "National, Regional, State, and Selected local area vaccination coverage among adolescents ages 13-17 years- United States, 2016." Morbidity and Mortality Weekly Report 66(33).

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Supplementing existing data

How is HPV vaccine uptake different across the various racial/ethnic communities in greater Boston?

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National State Local

  • National Immunization

Survey, Teen 13-17

  • American Cancer Society
  • The Community Guide
  • Massachusetts Cancer

Registry

  • Mass Dept. of Health
  • PLANET MassCONECT

website

  • MDPH

Best available data

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Workshopping opportunity

  • 1. Identify a health issue to tackle.
  • 2. List the levels on which your organization can

intervene.

  • Include examples of activities at each level.
  • 3. Using the web portal

(www.planetmassconect.org), find data on one

  • r two of these areas.
  • 4. Share findings with the group
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Prepare to implement Plan the evaluation Choose an EBP Adapt an EBP Assess partnership opportunities Find effective strategies Frame the issue

Step 2: Explore effective strategies

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Step 2

As we find effective strategies, we will learn to

  • Access a range of free resources that summarize the best

available research

  • Use these summaries to find solutions that may work in
  • ur communities
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How do we know what works?

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Finding strategies

What is the best available data we can get?

Informal evaluation

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Community Guide: Recommendations

+

  • Recommended

+

  • Recommended Against

+

  • Insufficient Evidence

Strong or sufficient evidence that this type of intervention is effective There is not enough information to determine if this type of intervention is, or is not, effective. Strong or sufficient evidence that this type of intervention is harmful or not effective

Strong evidence Strong evidence Limited evidence

Harmful/ ineffective Effective ?

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Searching the Community Guide

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Workshopping opportunity

1. Use the Community Guide to find a strategy that is appropriate for the health issue you chose during the last step. 2. Report findings to the group.

  • Unexpected findings
  • Challenges in finding strategies
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Prepare to implement Plan the evaluation Choose an EBP Adapt an EBP Assess partnership opportunities Find effective strategies Frame the issue

Step 3: Assess partnership opportunities

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Step 3

As we assess partnership opportunities to help implement EBPs, we will learn to

  • Identify potential partners based on strategies chosen in

Step 2

  • Access and use tools to support partnership formation for

EBPs

Planet Hot Tip: Refresh your memory about each step by visiting the Program Planning section.

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Partnerships in your

  • rganization

With a partner, discuss the ways in which your organization relies on partnerships to run health program at this time.

  • What is one thing you would like to see done differently?
  • What is one thing your organization does well?
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Partnerships: Local voices

Viswanath, K., et al., Health Programming in Action: A Survey Report from Community-Based Organizations in Boston, Lawrence, and Worcester, Massachusetts. 2010, Center for Community-Based Research, Dana-Farber Cancer Institute: Boston, MA. & Ramanadhan, S., Aronstein, D., Martinez-Dominguez, V. L., & Viswanath, K. (under review). Building capacity for evidence-based program planning in community-based organizations: The impact of trainee engagement.

Lawrence Worcester Boston PLANET trainees help partners use EBPs long after the training ends!

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Thinking strategically about partnerships

How can we do more with what we already have? How can we integrate partners into our work? What resources do

  • ur partners have?

Should we leverage existing relationships? Should we tap into new partnerships?

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Diverse partners at different levels

Adapted from: McLeroy, K.R., et al., An Ecological Perspective on Health Promotion Programs. Health Education Quarterly, 1988. 15(4): p. 351-377.

Where can we partner to have impact on different levels? How do you think about this strategically?

Government

Policy Community Organizational Interpersonal Individual

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Example: MA Childhood Obesity Research Demonstration Study

Taveras Childhood Obesity 2015; Franckle Obesity (Silver Spring) 2017

Early intervention School Primary Care

  • WIC providers
  • Childcare
  • Elementary
  • Middle
  • Afterschool
  • Community

Health Workers

  • Physicians

Results: Decrease in prevalence of

  • besity in 1 community

Improvements in healthy beverages & screentime behaviors in 2 communities

Community

  • Youth-led media
  • Environmental

& policy change

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Local action to improve HPV vaccination

Team Maureen MA Coalition for HPV/HPV- Related Cancer Awareness Boston Area Health Education Center (BAHEC) Boston Public Health Commission Dana-Farber Cancer Institute American Academy of Pediatrics (MA Chapter) Sociedad Latina Health Quarters (Lawrence)

mass.gov. (2018). Information for parents on HPV vaccine. Retrieved from https://www.mass.gov/service-details/information-for-parents-on-hpv-vaccine;

  • DFCI. (2018). HPV and related cancers outreach program. Retrieved from http://www.dana-farber.org/about-us/community-outreach/hpv-and-related-cancers-
  • utreach-program
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Assessing and Maximizing Partnerships (AMP) tool

Define goals/objectives Create partnership snapshot Analyze partnership snapshot Develop action plan

What partnerships are helpful?

PLANET Hot Tip: Find this tool on the portal!

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AMP tool: Example worksheet

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planetmassconect.org

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Workshopping opportunity

  • 1. List out desired benefits specific to running evidence-

based programs.

  • 2. Create a list of partners you may want to work with for

your health topic of interest.